Active NPI
Jay Griffin
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1427368430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP7367
- Practice address
- 11811 N Tatum Blvd Ste P199
Phoenix, AZ 85028 - Phone
- (480) 720-6347
- NPI assigned
- Oct 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP7367 | AZ | Primary |
Addresses
Primary practice location
11811 N Tatum Blvd Ste P199
Phoenix, AZ 85028
Mailing address
6501 E Greenway Pkwy # 103-151
Scottsdale, AZ 85254-2025
Phone (480) 720-6347
Other practice location 1
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 720-6347
Other practice location 2
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (480) 720-6347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7367 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axios Health & Wellness | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Longmont, CO
- NPI 1366258675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1427368430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 E GREENWAY PKWY # 103-151",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542025",
"telephone_number": "480-720-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 N TATUM BLVD STE P199",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85028",
"telephone_number": "480-720-6347"
}
],
"practiceLocations": [
{
"address_1": "9003 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606709",
"country_code": "US",
"telephone_number": "480-720-6347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064622",
"country_code": "US",
"telephone_number": "480-720-6347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-12",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP7367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.